A Study of AZD0486 in Subjects With B-Cell Non-Hodgkin Lymphoma

Launched by ASTRAZENECA · Oct 13, 2020

Keywords

ClinConnect Summary

This clinical trial is testing a new treatment called AZD0486 for patients with certain types of B-cell non-Hodgkin lymphoma (B-NHL), which is a type of cancer that affects the lymphatic system. Specifically, the study is looking at how safe this treatment is and how well it works in people whose cancer has come back or hasn’t responded to previous therapies. To be eligible for the trial, participants should have a confirmed diagnosis of B-NHL, such as diffuse large B-cell lymphoma or follicular lymphoma, and must have already tried at least two other treatments without success.

Participants in this trial can expect to undergo monitoring to assess their health and the treatment's effects. They will need to meet certain health criteria, such as having stable blood counts and good liver and kidney function. It's important to note that this study is currently recruiting individuals aged 18 to 80 years, and both men and women can participate. Additionally, individuals with certain health issues or recent treatments may not be eligible. Overall, this trial represents a potential new option for patients who have limited treatment choices for their B-cell lymphoma.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Biopsy proven B-NHL, including DLBCL, HGBL, or FL.
• * Relapsed/refractory cohorts:
• • In order to be eligible subjects must have received at least 2 prior lines of therapy and not be candidates for treatment regimens known to provide clinical benefit in B-NHL. CAR T-naive subjects are allowed if they have declined, are considered ineligible for, or do not have timely access to CAR T cell therapies.
• • 1L FL cohorts: Subject has biopsy-proven FL Grade 1-3a per WHO 2016 classification, Stage II-IV, FL International Prognostic Index 2-5 that has not been treated with prior systemic lymphoma-directed therapy and requires initiation of treatment based on GELF criteria. Radiation to localized disease prior to study entry is allowed if \>14 days from first dose.
• * All Cohorts:
• • Subject has an Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 2.
• • Subject must have adequate liver, bone marrow and kidney function (eGFR ≥ 50 mL/min).
• • Subject must have locally confirmed CD19 positivity (must be documented after time of progression from last CD19-targeted therapy, if received)
• • Subject must have at least 1 measurable disease site
• • Subject must have ANC \>/= 1000/mm3, platelets \>/= 50,000 mm3, hemoglobin \>/= 8.0 g/dL. Transfusion and/or growth factor are allowed but counts must be stable for at least 72 hours afterwards prior to screening
• • Subject must have a total bilirubin \<1.5x ULN, AST/ALT \< 3xULN
• Exclusion Criteria:
• • Subject has been diagnosed with or treated for another malignancy whose natural history or treatment may interfere with the safety or efficacy assessment of the investigational regimen.
• • Subject has active central nervous system (CNS) involvement by their B-NHL. --Subjects may be eligible with a distant history of CNS involvement that has been adequately treated with no evidence of recurrence within last 6 months from screening.
• • Subject has a history of leukemic presentation of their B-NHL (\>5,000 circulating lymphoma cells/uL in the peripheral blood).
• • Subject has history or presence of clinically significant CNS pathology
• • Subject has CNS involvement from active or history of autoimmune disease.
• • Subject received CD19 CAR T therapy within 3 months prior to first dose.
• • Subject experienced Grade ≥ 3 cytokine release syndrome (CRS) following prior T-cell engager (TCE) or CAR T-cell therapy.
• • Subject experienced Grade ≥ 2 neurotoxicity/immune effector cell-associated neurotoxicity syndrome (ICANS) following prior TCE or CAR T-cell therapy.
• • Subject has received a peripheral autologous stem cell transplant (SCT) within 12 weeks, or an allogeneic SCT within 1 year of the first dose of study drug treatment or has received an SCT and requires ongoing immunosuppressive therapy.
• • Subjects with human immunodeficiency virus (HIV) infection, or subjects with chronic or active infection with hepatitis B virus (HBV) or hepatitis C virus (HCV). HIV-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial. Subjects with chronic HBV may be enrolled if the HBV viral load is undetectable on suppressive therapy, or if the subject has a documented cure. Subjects with HCV who have a documented cure may be enrolled.
• • Subject has a history of major cardiac abnormalities.
• • If female, subject must not be pregnant or breastfeeding.